Individual
BRANDON WHITEASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
500 N CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3868
(570) 622-2224
Mailing address
1492 BUNTING ST, POTTSVILLE, PA 17901-9045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452394
PA
183500000X
Pharmacist
RPI012200
PA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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